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Professional Issues 

Professional Issues
Chapter:
Professional Issues
Author(s):

Solmaz P. Manuel

and Christine L. Mai

DOI:
10.1093/med/9780199398348.003.0027
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date: 25 January 2020

The scope of professional issues in pediatric anesthesia presents challenges for the anesthesiologist because the care involves both the child and the family. Ethical issues can arise with questions about informed consent, informed permission, and assent in minors. Children of Jehovah’s Witnesses parents can present ethical challenges for the anesthesiologist. The Institute of Medicine’s (IOM) 1999 report, “To Err Is Human: Building a Safer Health System,” brought attention to the problem of preventable medical errors occurring in US hospitals each year. These errors resulted in up to 98,000 patient deaths and were more likely to occur in operating rooms, emergency departments, and intensive care units. The report called for a comprehensive effort by health care providers, government, and consumers to make drastic reductions in these errors. Patient safety and quality assurance have become pinnacle motivators for anesthesiologists to strive for quality improvement in patient care.

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